WHAT IS GLAUCOMA (EYE PRESSURE)?

Glaucoma is popularly known as eye tension and blackwater. It is the increase of intraocular pressure due to the intraocular fluid does not discharge well. It is a closed eye system and intraocular fluid is produced in a certain balance and flows out. It is a common disease seen in 40 people over the age of 40.

Symptoms of glaucoma (Eye Pressure)

It usually does not show any obvious signs in the initial stages and proceeds sneakily. It progresses slowly over the years and destroys the eye nerve. Vision decreases gradually, narrowing of the visual field occurs and when the complaints begin, permanent vision damage occurs. One of the few cells that is not repaired when it is damaged in our body is nerve cells. Therefore, when there is damage, localized vision loss occurs in areas with these nerve fibers. Loss of vision increases as the damaged areas increase and progresses to blindness if not treated. Glaucoma can be noticed by many patients only in the future and when significant visual loss occurs. Early diagnosis is important as there is no return after vision loss in glaucoma. The increase in abnormal intraocular pressure detected during normal eye examination may be the first sign of the disease. In rare closed-angle glaucoma, the symptoms are more pronounced. It is a picture characterized by severe eye area and headache, decreased vision, redness in the eyes, nausea and vomiting. It is a table that needs urgent treatment. Congenital glaucoma seen in newborns, infancy and childhood have symptoms of watery eyes, redness, sensitivity to light and growth in the eyes.
Causes of glaucoma (Eye Blood Pressure)

A fluid is constantly made in the eye to nourish the intraocular tissues, and this intraocular fluid also constantly leaves the eye through some small channels. Glaucoma is formed as a result of structural congestion in the channels that drain the intraocular fluid, resulting in insufficient discharge of the fluid and an increase in intraocular pressure. Rising intraocular pressure damages the visual nerve, causing the nerve to die. In some patients, the visual nerve is destroyed in the same way because the blood flow in the visual nerve is disturbed even though the intraocular pressure is normal. As with eye pressure, arm blood pressure, it is not related to life habit, eating and drinking. However, some conditions are known with a higher risk of eye pressure.

People with increased risk of glaucoma:

-The rate of catching glaucoma disease increases with increasing age. This is because the nerve fibers of the elderly are more sensitive to increased intraocular pressure.

Family history (genetics); People with family glaucoma disease are more likely than those who do not have eye pressure. Therefore, these people must be regularly examined for glaucoma.

-Gender; Glaucoma disease is higher in women than in men.

-Myopia; Glaucoma disease is higher in patients with myopia than those without any defects and hyperopia.

Circulation problems; It has been revealed that disruptions in the blood circulation of the eye increase the sensitivity to intraocular pressure and can lead to glaucoma disease even at low intraocular pressures. The most common cause of circulation problems is irregularity in the blood vessels and arteriosclerosis.

-Blood pressure; low blood pressure can reduce the blood circulation of the eye, disrupt the nutrition of the visual nerve and increase the sensitivity to intraocular pressure.

Systemic diseases; Glaucoma disease is more common in patients with diabetes mellitus (diabetes), goiter, migraine. The use of drugs with cortisone due to other diseases increases the risk of glaucoma.

Normal Eye Pressure values

Normal intraocular pressure is between 9 and 21 mmHg and an average of 17mmHg. However, some individuals who have eye pressure below 9 mmHg or above 21 mmHg may be healthy. It may be the opposite. In other words, glaucoma may occur even though the eye pressure of the person is between 9mmHg and 21mmHg. In other words, an eye pressure value within the limits that are considered normal can cause visual nerve damage in some individuals.

Glaucoma (Eye Blood Pressure) treatment

In this section, mainly open-angle glaucoma treatment will be discussed. It is not a disease that is completely cured and eliminated after glaucoma diagnosis; however, in many patients, it can be successfully kept under control with proper treatment and the loss of vision can be prevented. If glaucoma has been diagnosed, treatment and monitoring of the disease will continue throughout the rest of life. For this reason, it is important to follow the ophthalmologist's monitoring program regularly and apply the recommended treatment carefully. Open-angle glaucoma is primarily treated with drops that reduce intraocular pressure. In patients who cannot be controlled with drops and visual field loss continues, surgical treatment is applied in patients who do not use drugs regularly. The purpose of these treatments is to protect the patient's remaining vision. Treatment in narrow-angle glaucoma type that occurs with crisis is laser treatment after intraocular pressure is lowered to its normal level with serum and drops. In congenital glaucoma, treatment is mainly surgery. Some patients may require more than one surgical intervention.

Vital information for glaucoma (eye pressure) patient

• Since the incidence increases after the age of 40, make sure to have an eye examination after 40 years of age.
• If there are glaucoma diseases in families and relatives, have an eye examination every year after the age of 40.
• If glaucoma is diagnosed, using this drug for a while does not improve this disease. Medication should be used for life. If you are a patient with eye pressure, be sure to see your doctor every 6 months, even if everything is fine with the medicine.
• Try to drip eye drops at the same time every day. Take care to drip the drops that are dropped twice a day every 12 hours.
• Eye pressure drops cause side effects in the majority of patients. These are mainly; redness, stinging, palpitations and headache in the eyes. If the medicine has had a side effect, do not stop taking the medicine without consulting your doctor.
• Follow your doctor's scheduled appointments. Your disease can be successfully treated only if you are under your doctor's regular control. Have your periodic visual field examinations done by your doctor's recommendation.
• Glaucoma can be inherited. Instruct all members of your family to have regular eye exams. Have your periodic visual field examinations done by your doctor's recommendation.
• Since glaucoma is a chronic disease, treatment lasts a lifetime and requires stability. But do not forget that the inside of you it is this determination that will protect your eyesight, which is most valuable.

Kiss. Dr Kamuran TUNÇ